Organization Active NPI

Kingsville Sleep Clinic, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Kingsville, TX
National Provider Identifier
1235449232
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
KINGSVILLE SLEEP CLINIC, LLC
Practice address
2511 E Corral Ave
Suite B
Kingsville, TX 78363-4101
Phone
(361) 723-2130
Fax
(361) 723-2131
NPI assigned
Oct 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bret Worley
Title
Administrator
Phone
(361) 739-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X TX Primary

Addresses

Primary practice location

2511 E Corral Ave
Suite B
Kingsville, TX 78363-4101

Mailing address

4455 S Padre Island Dr
Suite 6
Corpus Christi, TX 78411-5101
Phone (361) 723-2130

National Provider Directory

National Provider Directory

Locations

4455 S Padre Island Dr
Ste 6
Corpus Christi, TX 78411
Phone (361) 723-2130

2511 E Corral Ave
Ste B
Kingsville, TX 78363
Phone (361) 358-4448

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1235449232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "SUITE 6",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-723-2130",
            "fax_number": "361-723-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 E CORRAL AVE",
            "address_2": "SUITE B",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634101",
            "telephone_number": "361-723-2130",
            "fax_number": "361-723-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSVILLE SLEEP CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-739-5909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.